Tdap vaccination among pregnant women in Phatthalung Province (pilot project)

Authors

  • Prangnapitch Wihanthong Division of Communicable Diseases, Department of Disease Control
  • Chaninan Sonthichai Division of Communicable Diseases, Department of Disease Control
  • Patcharee Yom-eid Phatthalung Provincial Public Health Office

DOI:

https://doi.org/10.14456/dcj.2024.49

Abstract

 Giving the pertussis vaccine to pregnant women is an essential precaution to prevent pertussis in newborns. Immunity to pertussis is transferred from the mother to the fetus, resulting in newborns having immunity against pertussis. In 2020, the Department of Disease Control, in collaboration with the Phatthalung Provincial Health Office, piloted the administration of one dose of Tdap vaccine to pregnant women. This pilot aimed to assess the feasibility and appropriateness of providing this vaccine. This study aims to evaluate the implementation of the Tdap vaccination program for pregnant women in Phatthalung Province. This study is descriptive cross-sectional study. Data was collected using questionnaires distributed to health care workers at the Phatthalung Provincial Health Office and 11 hospitals between January 12 and 26, 2024. The results showed that district vaccine warehouses and vaccination units followed the immunization program's cold chain guidelines. Vaccination services were successfully integrated into mother and child health programs. The Tdap vaccine was accepted by both healthcare staff and pregnant women, and no serious adverse events following immunization were reported. Providing the pertussis-containing vaccine to pregnant women enhances the immunity passed from the mother to the fetus, which results in babies becoming immune to pertussis. Thailand provided a pertussis-containing vaccine for pregnant women. In 2024, delivering one dose of the aP vaccination for each pregnancy is considered a maternal entitlement.

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References

Department of Disease Control (TH). Acellular pertussis vaccination in pregnancy administration guidelines 2023 [Internet]. 2023 [cited 2024 Apr 9]. Available from: https://ddc.moph.go.th/uploads/publish/1518520240108091240.pdf (in Thai)

World Health Organization. Pertussis (whooping cough) [Internet]. 2024 [cited 2024 Jul 29]. Available from: https://www.who.int/westernpacific/health-topics/pertussis#tab=tab_1

World Health Organization. Pertussis Reported cases by country [Internet]. 2021 [cited 2024 Jul 29]. Available from: https://apps.who.int/gho/data/node.main.WHS3_43?lang=en

Division of Epidemiology (TH). Epidemiological Surveillance Report 2021. 2022 [cited 2024 Jul 29]. Available from: https://apps-doe.moph.go.th/boeeng/download/AW_AESR_ 2564.pdf (in Thai)

Division of Epidemiology (TH). Pertussis situation in Thailand. 2024 [cited 2024 Jul 29]. Available from: https://ddc.moph.go.th/uploads/ckeditor2//files/3.%20สถานการณ์ โรคไอกรน_01032024.pdf (in Thai)

Department of Disease Control (TH). Vaccine schedule in Thailand, 2024. [Internet]. 2024 [cited 2024 Apr 9]. Available from: https://ddc.moph.go.th/dcd/journal_detail.php?publish=15103

Department of Disease Control (TH). Tdap vaccination in pregnancy administration guidelines (Revised Edition). Nonthaburi: Division of vaccine preventable disease, 2020. (in Thai)

Healy CM, Munoz FM, Rench MA, Halasa NB, Edwards KM, Baker CJ. Prevalence of pertussis antibodies in maternal delivery, cord, and infant serum. J Infect Dis 2004;190:335-40.

Walls T, Graham P, Petousis-Harris H, Hill L, Austin N. Infant outcomes after exposure to Tdap vaccine in pregnancy: an observational study. BMJ Open 2016;6(1):e009536.

Centers for Disease Control and Prevention CDC. Tdap Vaccination for Pregnant People [Internet]. 2022 [cited 2024 May 19]. Available from: https://www.cdc.gov/pertussis/vaccines/ tdap-vaccination-for-pregnant-people.html

World Health Oranization. Pertussis [Internet]. 2024 [cited 2024 May 19]. Available from: https://www.who.int/health-topics/pertussis#tab=tab_2

Centers for Disease Control and Prevention (CDC). Updated recommendations for use of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (Tdap) in pregnant women-Advisory Committee on Immunization Practices (ACIP), 2012. MMWR Morb Mortal Wkly Rep 2013;62:131-5.

World Health Organization. New vaccine post-introduction evaluation (PIE) tool [Internet]. 2010. [cited 2024 May 19]. Available from: https://iris.who.int/handle/10665/70436

Department of Disease Control (TH). Standard of vaccine implementation 2023 [Internet]. 2023 [cited 2024 Apr 9]. Available from: https://www.ddc.moph.go.th/dcd/journal_detail. php?publish=13515 (in Thai)

Razzaghi H, Kahn KE, Calhoun K, Garacci E, Skoff TH, Ellington SR, et al. Influenza, Tdap, and COVID-19 Vaccination Coverage and Hesitancy Among Pregnant Women - United States, April 2023. MMWR Morb Mortal Wkly Rep 2023;72(39):1065-71.

Health Data Center (TH). Vaccination in Pregnant women [Internet]. 2024 [cited 2024 Apr 9]. Available from: https://hdcservice.moph.go.th (in Thai)

Wihanthong P, Sonthichai C, Angsuwatcharakorn P, Bhunyakitikorn W, Withaksabut W, Wanlapakorn N, et al. Vaccination coverage for pregnant women in Chonburi Province during COVID-19 outbreak. Thai J Pediatr 2023; 62(4):313-21. (in Thai)

Rand CM, Olson-Chen C. Maternal Vaccination and Vaccine Hesitancy. Pediatr Clin North Am 2023;70(2):259-69.

World Health Organization. Country-led Assessment for Prioritization in Immunization (CAPACITI) [Internet]. 2020. [cited 2024 Apr 10]. Available from: https://cdn.who.int/media/docs/default-source/immunization/vaccine_impact_value/en_capaciti_decision-support_manualv2.1.pdf?sfvrsn=c070a27_20&download=true

Department of Disease Control (TH). Meeting Report of the Advisory Committee on Immunization Practices (ACIP) N0.2/2566.

Nonthaburi: Division of vaccine preventable disease, 2023. (in Thai)

Department of Disease Control (TH). Meeting Report of the Advisory Committee on Immunization Practices (ACIP) N0.4/2566. Nonthaburi: Division of vaccine preventable disease, 2023. (in Thai)

The Secretariat of the Cabinet (TH). Announcement of the National Health Security Board on the Types and Scope of Public Health Services (No. 5), B.E. 2566. 2023 [cited 2024 Apr 19]. Available from: https://ratchakitcha.soc.go.th/documents/14185.pdf (in Thai)

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Published

2024-12-19

How to Cite

1.
Wihanthong P, Sonthichai C, Yom-eid P. Tdap vaccination among pregnant women in Phatthalung Province (pilot project). Dis Control J [Internet]. 2024 Dec. 19 [cited 2024 Dec. 19];50(4):602-13. Available from: https://he01.tci-thaijo.org/index.php/DCJ/article/view/271992

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Original Article